should assess further before administering it.

23. Which patent statement to the nurse indicates that the patient understands self-care for pernicious anemia?

“I should increase intake foods rich in vitamin B6.”

“I need to Start eating more red meat and liver.”

“This condition with my bone marrow also increases my risk of infection and bleeding.”

“I will require periodic vitamin B12 injections."

Answer and Explanation

The Correct Answer is D

A. Vitamin B6 is important for overall health but does not treat pernicious anemia.

B. Increasing dietary intake of B12-rich foods like red meat and liver is ineffective since the body cannot absorb B12 due to intrinsic factor deficiency.

C. While some anemias affect bone marrow function, pernicious anemia is not associated with increased infection and bleeding risk.

D. Pernicious anemia is caused by a lack of intrinsic factor, which is necessary for vitamin B12 absorption. Since dietary B12 cannot be absorbed, lifelong vitamin B12 injections are required.

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Correct Answer is D

Explanation

A. Blood should be administered with a Y-tubing set that has normal saline as the only compatible fluid.

B. A 24-gauge IV is too small; at least an 18- or 20-gauge IV is recommended for blood administration.

C. If a transfusion reaction occurs, the line should be discontinued, and the normal saline should not be used to flush the remaining blood.

D. Blood transfusions must be initiated within 30 minutes of receipt from the blood bank to reduce the risk of bacterial contamination.

A. A nurse who works for an insurance company and collects saliva samples from clients who have HIV B. An occupational therapist who works with a client who has HIV C. A personal trainer who works with a client who has HIV D. A phlebotomist who works at a clinic in a community where HIV is prevalent

Correct Answer is D

Explanation

A. Collecting saliva samples does not pose a high risk, as HIV is not transmitted through saliva.

B. Occupational therapists generally do not have exposure to body fluids in a way that increases HIV risk.

C. Personal trainers do not have exposure to clients’ blood or body fluids in a way that increases transmission risk.

D. A phlebotomist handling blood samples has the highest risk of occupational exposure to HIV, particularly through needlestick injuries or improper handling of blood specimens.

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should assess further before administering it.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has an order for one unit of packed cells. What is a correct nursing action in the administration of this product?

Correct Answer is D

Explanation

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

Correct Answer is D

Explanation

While receiving a unit of packed RBCs, the patient develops chills. itching hives. and a temperature of 1022 F (39.0 C). What is the priority action for the nurse to take?

A client with suspected aplastic anemia is scheduled for a bone marrow aspiration. What would be the best nursing action in the care of this client after a bone marrow aspiration from the left posterior iliac crest?

The nurse is providing discharge teaching to a client newly diagnosed With HIV. Which of the following statements would the nurse include in the teaching to reduce the risk of opportunistic infections? Select all that apply.

A nurse is teaching a client who has a new diagnosis of hemolytic anemia. Which of the following information should the nurse include in the teaching?

The nurse is performing an assessment on a client with a diagnosis of anemia that developed as a result of blood loss after a traumatic injury. The nurse would expect to find which potential signs or symptoms in the client as a result Of severe blood loss anemia? Select all that apply.

The nurse is caring for a client who presented to the emergency room with hemorrhage from a motor vehicle accident. The client's hemoglobin is 6.3gfdL. Which Of the following treatments would the nurse anticipate the physician ordering?

should assess further before administering it.